| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
13,551 |
11,733 |
$429K |
| E0431 |
Portable gaseous 02 |
6,568 |
5,668 |
$210K |
| A7030 |
Cpap full face mask |
1,496 |
1,250 |
$73K |
| E0601 |
Cont airway pressure device |
2,412 |
2,095 |
$40K |
| A7031 |
Replacement facemask interfa |
2,251 |
1,720 |
$40K |
| K0738 |
Portable gas oxygen system |
684 |
594 |
$20K |
| A4604 |
Tubing with heating element |
1,679 |
1,383 |
$19K |
| A7035 |
Pos airway press headgear |
1,316 |
1,126 |
$17K |
| A7034 |
Nasal application device |
710 |
581 |
$17K |
| A7038 |
Pos airway pressure filter |
3,995 |
3,034 |
$13K |
| A7032 |
Replacement nasal cushion |
528 |
357 |
$6K |
| K0001 |
Standard wheelchair |
642 |
480 |
$6K |
| A7046 |
Repl water chamber, pap dev |
1,005 |
851 |
$6K |
| E0570 |
Nebulizer with compression |
520 |
480 |
$5K |
| E0443 |
Portable 02 contents, gas |
127 |
99 |
$4K |
| E0260 |
Hosp bed semi-electr w/ matt |
143 |
130 |
$3K |
| E1392 |
Portable oxygen concentrator |
568 |
517 |
$3K |
| A7037 |
Pos airway pressure tubing |
179 |
147 |
$3K |
| E0143 |
Walker folding wheeled w/o s |
113 |
106 |
$2K |
| E0562 |
Humidifier heated used w pap |
16 |
13 |
$563.67 |
| A7033 |
Replacement nasal pillows |
17 |
12 |
$189.77 |